Ordaz Authorization Form – Single Traveler

Exp. (as appears

Traveler One

Name (as it appears on Passport/ID)

First

Last

Birthday (as it appears on Passport/ID)

Email

Phone

Options

Select Upgrades (You and Your Roommate Must Make The Same Selections)

Upgrade to Ocean View Room ($202)
Upgrade to Refundable Room ($100)
Upgrade Airfare from Basic Economy to Economy ($63 per person)

Credit Card Authorization

CC Number

Security Code

Exp. Date

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Authorization

Please charge my credit card referenced above in the amount of $1391.93, a $25 processing fee, plus any additional upgrades indicated.I understand all of the terms and conditions regarding this booking including cancellation policies, applicable penalties, and the availability of travel insurance.

If you are using a debit card with a daily spending limit, it is your responsibility to contact your bank to give them permission to authorize the transaction. If they require the name of the vendor and you are unsure as to who that is, please contact Straight A Travel.

Straight A Travel is an Independent Affiliate of A.S.A.P. Cruises Inc.

Florida Seller of Travel Ref. No. FST ST15578

California Seller of Travel No. 2090937-50

Washington UBID No. 603189022